9 Parkinson’s Disease Nursing Care Plans


Parkinson’s disease, or paralysis agitans,is a progressing neurologic movement disorder that eventually leads to disability. It occurs after the age of 50 and increases in incidence with age. The disease affects more men than women and it’s the fourth most common neurodegenerative disease, with 50,000 new cases reported each year in the United States.

Parkinson’s disease is associated with decreased levels of dopamine resulting from destruction of pigmented neuronal cells in the substantia nigra in the basal ganglia region of the brain. Neuronal pathways project from the substantia nigra to the corpus striatum, where neurotransmitters are key to the control of complex body movements. The loss of dopamine stores in areas of the brain results in more excitatory neurotransmitters than inhibitory neurotransmitters, leading to an imbalance that affects voluntary movement.

Nursing Care Plans

The nursing goals for patients with Parkinson’s Disease include improving functional mobility, maintaining independence in performing ADLs, achieving optimal bowel elimination, attaining and maintaining acceptable nutritional status, achieving effective communication, and developing positive coping mechanisms.

Here are nine (9) nursing care plans (NCP) and nursing diagnosis for Parkinson’s Disease:

  1. Ineffective Airway Clearance
  2. Disturbed Thought Process
  3. Impaired Verbal Communication
  4. Impaired Physical Mobility
  5. Imbalanced Nutrition: Less Than Body Requirements
  6. Impaired Swallowing
  7. Risk for Injury
  8. Ineffective Coping
  9. Deficient Knowledge
  10. Other Nursing Care Plans

Ineffective Coping

Nursing Diagnosis

May be related to

  • progressive chronic disease
  • limitations imposed by the disease
  • depression
  • lack of coping skills
  • physical or emotional impairment caused by normal aging changes or parkinsonism
  • changes in lifestyle

Possibly evidenced by

  • verbalization of inability to cope
  • inappropriate coping strategies
  • social withdrawal
  • irritability
  • aggressiveness
  • hostility
  • changes in communication pattern
  • inability to ask for help
  • fatigue
  • increased illness
  • poor concentration
  • decreased problem-solving skills
  • risk-taking behaviors
  • poor-self esteem
  • insomnia

Desired Outcomes

  • Patient will exhibit improvement in emotional well-being.
  • Patient will use acceptable strategies to cope with problems, and will have improved sense of self-worth.
  • Patient will be able to access support systems, community resources, or counselors to assist in achieving adequate coping skills.
Nursing InterventionsRationale
Provide care for patient using same personnel whenever possible.Provides for continuity of care and the establishment of a trusting relationship.
Provide uninterrupted time to be spent with patient, and encourage him to express feelings and concerns.Allows patient time to express extreme and powerful emotional feelings, and with discussion, patient can begin to comprehend the personal meaning attached to recent events and develop a reasonable assessment of the situation in order to identify a plan to deal constructively with the situation.
Assist patient only when necessary. Offer positive feedback for independent behavior.Dependency on the nurse decreases self-esteem. Encouraging desired behaviors promotes effective coping.
Encourage patient to make choices about his care.Reduces helplessness and enhances a sense of self-esteem.
Identify expectations from patients for behavior and what consequences will occur if limits are not honed.Helps set boundaries for manipulative behavior. Manipulation by the patient reduces sense of insecurity by increasing feeling of power.
Assist patient to identify behavior and accept responsibility for actions.A sense of responsibility needs to be developed before any changes can occur.
Identify patient’s positive qualities and accomplishments and assist patient to recognize these traits.Patient will have less need for manipulative behavior if self-esteem is increased.
Congratulate the patient when he or she uses effective coping strategies.Helps reinforce positive behavior.
Encourage patient to utilize community resources, support systems, counselors, and family and friends.Helps to maintain effective coping skills.
Instruct patient/family in appropriate coping strategies.Provides knowledge and identifies alternatives to inappropriate behavior.
Instruct patient and/or family regarding need for support groups and/or counseling.May be required to continue complete appropriate care and enable patient to effectively maintain coping skills.

Recommended Resources

Recommended nursing diagnosis and nursing care plan books and resources.

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See also

Other recommended site resources for this nursing care plan:

Other nursing care plans related to neurological disorders:

Matt Vera is a registered nurse with a bachelor of science in nursing since 2009 and is currently working as a full-time writer and editor for Nurseslabs. During his time as a student, he knows how frustrating it is to cram on difficult nursing topics. Finding help online is nearly impossible. His situation drove his passion for helping student nurses by creating content and lectures that are easy to digest. Knowing how valuable nurses are in delivering quality healthcare but limited in number, he wants to educate and inspire nursing students. As a nurse educator since 2010, his goal in Nurseslabs is to simplify the learning process, break down complicated topics, help motivate learners, and look for unique ways of assisting students in mastering core nursing concepts effectively.
  • This website has helped me so much with nursing interventions and now is helping me come up with interventions and understanding why because of the rationale

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